Individual provider Active NPI

Christian Hardy, LIMHP, CPC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1871117309
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12191 Issued in NE
Practice address
1055 N 115TH St Ste 105
Omaha, NE 68154-4419
Phone
(402) 850-3962
Fax
(531) 466-7401
NPI assigned
Jun 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12191 NE Primary

Addresses

Primary practice location

1055 N 115TH St Ste 105
Omaha, NE 68154-4419

Mailing address

1055 N 115TH St Ste 105
Omaha, NE 68154-4419
Phone (402) 850-3962

Other identifiers 1

IdentifierTypeStateIssuer
10027680600MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindscape Therapy LLC Mental Health Current Accepting new patients
Cohrs Behavioral Consulting, LLC Mental Health PastSince Jun 1, 2020 Accepting new patients

Locations

1055 N 115th St
Ste 105
Omaha, NE 68154
Phone (402) 915-0516

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1871117309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 115TH ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544419",
            "telephone_number": "402-850-3962",
            "fax_number": "531-466-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 115TH ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544419",
            "telephone_number": "402-850-3962",
            "fax_number": "531-466-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "CHRISTIAN",
        "credential": "LIMHP, CPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10027680600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.